AMY MYRL PRINCE NPI 1972700193

NPI Information

NPI: 1972700193
Provider Name: AMY MYRL PRINCE
Classification: Pediatrics - 208000000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1000 LINCOLN ST STE 101
FORT MORGAN, CO
ZIP 80701
Phone: (970) 542-4466
Get Directions

Amy Myrl Prince is a pediatrics in Fort Morgan, CO. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Amy Myrl Prince NPI is 1972700193. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1000 LINCOLN ST STE 101
FORT MORGAN, CO
ZIP 80701-290
Phone: (970) 542-4466
Fax: (970) 867-4913

The NPI 1972700193 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/29/2007 and was last updated on 3/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207PP0204X	Emergency Medicine	Pediatric Emergency Medicine	DR.0055211	COLORADO	No
2	208000000X	Pediatrics		2010019730	MISSOURI	No
3	208000000X	Pediatrics		05-33934	KANSAS	No
4	2080P0204X	Pediatrics	Pediatric Emergency Medicine	DR.0055211	COLORADO	No
5	208000000X	Pediatrics		DR.0055211	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	69050015	MEDICAID	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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